SURGERY CENTER CEDAR RAPIDS – NPI #1124022595
Clinic/Center

SURGERY CENTER CEDAR RAPIDS is an AHC clinic located in CEDAR RAPIDS, IA. NPPES has assigned the NPI number 1124022595 to SURGERY CENTER CEDAR RAPIDS on June 13, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SURGERY CENTER CEDAR RAPIDS” is a dba name, the actual legal business name for this organization is THE OUTPATIENT SURGERY CENTER OF CEDAR RAPIDS, LLC. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 7 years ago on Jan 02, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SURGERY CENTER CEDAR RAPIDS below.

NPI Profile for
THE OUTPATIENT SURGERY CENTER OF CEDAR RAPIDS, LLC

NPI Number
1124022595
Enumeration Date

(about 21 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
THE OUTPATIENT SURGERY CENTER OF CEDAR RAPIDS, LLC
Doing Business As (dba): SURGERY CENTER CEDAR RAPIDS
Primary location
1075 1ST AVENUE SE
CEDAR RAPIDS, IA 52402
Phone: (319) 558-4800 Fax: (319) 558-4806
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
KALLEMEYN SCOTT
EXECUTIVE DIRECTOR
Phone: (319) 558-4801
Updated
Identifiers

Identifiers for SURGERY CENTER CEDAR RAPIDS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERWELLMARK-BC/BS ID NUMBERIA61016
MEDICAIDIA0610238
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.